Magnetic core for medical procedures

ABSTRACT

The inventive technique includes a system, method and device for treating a patient. The device includes a magnetic device having a core created by a binder process having a relatively low temperature. The device further includes a conductor in electrical communication with the core.

CROSS REFERENCE TO RELATED APPLICATIONS

This application is a division of U.S. patent application Ser. No.11/325,660 (Attorney Docket No. NNI-0070), filed Jan. 4, 2006 entitled“Magnetic Core for Medical Procedures,” which is a continuation of U.S.patent application Ser. No. 11/191,106 (Attorney Docket No. NNI-0066),filed Jul. 27, 2005 entitled “Magnetic Core for Medical Treatment,” andalso a continuation of U.S. patent application Ser. No. 11/213,415(Attorney Docket No. NNI-0069), filed Aug. 26, 2005 entitled “MagneticCore for Medical Treatment.” This application is also related to U.S.patent application Ser. No. 11/______ (Attorney Docket No. NNI-0474),filed ______, 2009 entitled “Magnetic Core for Medical Procedures,”which is also a division of U.S. patent application Ser. No. 11/325,660(Attorney Docket No. NNI-0070). Each of these applications is hereinincorporated by reference in its entirety.

BACKGROUND

A number of medical ailments are treated or treatable and/or diagnosedthrough the application of a magnetic field to an afflicted portion of apatient's body. Neurons and muscle cells are a form of biologicalcircuitry that carry electrical signals and respond to electromagneticstimuli. When an ordinary conductive wire loop is passed through amagnetic field or is in the presence of a changing magnetic field, anelectric current is induced in the wire.

The same principle holds true for conductive biological tissue. When achanging magnetic field is applied to a portion of the body, neurons maybe depolarized and stimulated. Muscles associated with the stimulatedneurons can contract as though the neurons were firing by normal causes.

A nerve cell or neuron can be stimulated in a number of ways, includingtranscutaneously via transcranial magnetic stimulation (TMS), forexample. TMS uses a rapidly changing magnetic field to induce a currenton a nerve cell, without having to cut or penetrate the skin. The nerveis said to “fire” when a membrane potential within the nerve rises withrespect to its normal negative ambient level of approximately −90millivolts, depending on the type of nerve and local pH of thesurrounding tissue.

The use of magnetic stimulation is very effective in rehabilitatinginjured or paralyzed muscle groups. Apart from stimulation of largemuscle groups such as the thigh or the abdomen, experimentation has beenperformed in cardiac stimulation as well. In this context, magneticstimulation of the heart may prove to be superior to CPR or electricalstimulation, because both of those methods undesirably apply grossstimulation to the entire heart all at once.

Another area in which magnetic stimulation is proving effective istreatment of the spine. The spinal cord is difficult to access directlybecause vertebrae surround it. Magnetic stimulation may be used to blockthe transmission of pain via nerves in the back, e.g., those responsiblefor lower back pain.

Magnetic stimulation also has proven effective in stimulating regions ofthe brain, which is composed predominantly of neurological tissue. Onearea of particular interest is the treatment of depression. It isbelieved that more than 28 million people in the United States alonesuffer from some type of neuropsychiatric disorder. These includeconditions such as depression, schizophrenia, mania,obsessive-compulsive disorder, panic disorders, and others. Depressionis the “common cold” of psychiatric disorders, believed to affect 19million people in the United States and possibly 340 million peopleworldwide.

Modern medicine offers depression patients a number of treatmentoptions, including several classes of anti-depressant medications (e.g.SSRI's, MAOI's and tricyclics), lithium, and electroconvulsive therapy(ECT). Yet many patients remain without satisfactory relief from thesymptoms of depression. To date, ECT remains an effective therapy forresistant depression; however, many patients will not undergo theprocedure because of its severe side effects.

Recently, repetitive transcranial magnetic stimulation (rTMS) has beenshown to have significant anti-depressant effects for patients that donot respond to the traditional methods. The principle behind rTMS is toapply a subconvulsive stimulation to the prefrontal cortex in arepetitive manner, causing a depolarization of cortical neuronmembranes. The membranes are depolarized by the induction of smallelectric fields in excess of 1 V/cm that are the result of a rapidlychanging magnetic field applied non-invasively.

Creation of the magnetic field has been varied. Certain techniquesdescribe the use of a coil to create the necessary magnetic field. Othertechniques contemplate the use of a high saturation level magnetic corematerial, like vanadium permendur. Use of the magnetic core material, ascompared to the coil or so-called “air” core solution, has been shown toincrease the efficiency of the TMS process. For example, as discussedwith reference to U.S. Pat. No. 5,725,471, using a magnetic core insteadof just a coil increases the efficiency of the TMS process by creating alarger, more focused magnetic field with the same or lesser input powerrequirements.

This advance has allowed a more cost effective solution that usesexisting 120 volt power without complicated and a costly power supplies.Also, because of the need for the same or lesser power inputs, themagnetic core significantly reduces the undesirable heating that wasassociated with the coil solution and created a safety risk forpatients. For example, magnetic core devices in comparison to coil-onlydevices reduce the magnetic reluctance path by a factor of two. Thisreluctance reduction translates into a reduction of required current togenerate the same magnetic field by the same factor, and thus provides afourfold reduction in required power.

The ferromagnetic core alternatives typically are fabricated bylaminating layers of silicon steel or similar ferromagnetic metaltogether to form the core structure. The layers may be constructed bystacking cut-out shapes or by winding a ribbon of material onto amandrel followed by further machining and processing to attain thedesired core geometry.

While solutions fabricated using these ferromagnetic cores offered amarked improvement over their coil-only counterparts, the ferromagneticcores also suffer from certain complexities in their construction andlimitations in their geometry. Specifically, the stacked layerconstruction method does not provide optimal alignment of the metalcrystal structure with the magnetic flux lines and also requires acontrolled lamination process to guarantee minimal eddy current losses.The wound ribbon construction method typically results in a core witharc-shaped or C-shaped structure having a certain radius and span. Thedimensions and geometry of these ferromagnetic cores are selected toensure desired depth of penetration, magnetic field shape andappropriate magnetic field magnitude at certain locations within thepatient's anatomy.

The ferromagnetic core's construction method involves a complex andmeticulous construction process that increased both the complexity andcost of the core. For example, because ferromagnetic material iselectrically conductive, eddy currents are established in the materialwhen it is exposed to a rapidly varying magnetic field. These eddycurrents not only heat the core material through resistive heating, butthey also produce an opposing magnetic field that diminishes the primarymagnetic field. To prevent these losses the eddy current pathways arebroken by fabricating the core from very thin layers or sheets offerromagnetic material that are electrically isolated from each other.

The sheets typically are individually varnished or otherwise coated toprovide insulation between the sheets, thus preventing current fromcirculating between sheets and resulting in reduced eddy current losses.Also, the sheets are oriented parallel to the magnetic field to assurelow reluctance.

The wound core fabrication process begins by winding a long thin ribbonof saturable ferromagnetic material, such as vanadium permendur orsilicon steel, on a mandrel to create the desired radius, thickness anddepth of the core. Each side of the ribbon typically is coated with athin insulative coating to electrically isolate it. Once the ribbon hasbeen wound on the mandrel to the desired dimensions, it is removed fromthe mandrel and dipped in epoxy to fix its position. Once the epoxy hascured, a sector of the toroidal core is cut with a band saw and removed,thus forming the desired arc-shape. Because the cutting process mayreduce the electrical isolation of adjacent laminations, each cut isfinely ground so that it is smooth, and then a deep acid etch isperformed. The deep etch is performed by dipping each of the cut ends inan acid bath. This removes any ferromagnetic material that may beshorting the laminations. Following the deep etch, the faces are coatedto prevent oxidation and to maintain the shape and structural integrityof the core. The manufacturing process of cutting, coating, aligning,attaching and laminating the layers makes for a complex and costlymanufacturing process. Also, these considerations make it difficult tochange or customize the shape of the core structure.

Winding a coil of insulated wire around the ferromagnetic core todeliver the current needed to create the magnetic field also is acomplex and detailed process. A typical inductance for a core of thistype is about 15-20 microHenries. Each pass of the winding around thecore must be made at precise intervals on the core structure. In thesimplest configuration, each core has only one winding, althoughtypically the core may be wound multiple times.

While the present ferromagnetic core shape and composition work well,and certainly better than the coil-only approach, it should beappreciated that other core compositions and core shapes may workequally well under other circumstances.

SUMMARY

The inventive technique include a system, method and device for treatinga patient. The device includes a magnetic device having a core createdby a binder process having a relatively low temperature. The devicefurther includes a conductor in electrical communication with the core.

BRIEF DESCRIPTION OF THE DRAWINGS

FIGS. 1 through 13 illustrate example core shapes and configurations, inaccordance with the invention;

FIG. 14 is a flow diagram of a method for treating a patient;

FIG. 15 is a block diagram of a system for treating a patient; and

FIG. 16 is a flow diagram of a method for manufacturing a magnetic corefor treating a patient.

DETAILED DESCRIPTION OF ILLUSTRATIVE EMBODIMENTS

In one embodiment of the invention, a distributed gap core structure iscontemplated, for example an air gap core structure. It should beappreciated that the air gap core refers to the internal structure of amagnetic core, while the “air core” discussed in the Background of theInvention section refers to a winding without any magnetic core. Onetype of distributed air gap core structure is created by dispersingpowdered ferromagnetic particles in a matrix of insulating material. Itshould be appreciated that the invention is not limited to anferromagnetic powder core, but various embodiments may include any gapcore structure. The gap core structure may be any structure where one ormore conductive particles are insulated (or nearly so) from each other.

The use of distributed gap core structures, like powdered ferromagneticcore materials reduces the complex manufacturing and corresponding costburden inherent in the laminated structures. In addition, because of theinsulating material that separates the ferromagnetic particles in thecore material, the core is less conductive, and as a result eddy currentlosses are minimal. More specifically, the non-conductive gaps mayprohibit the flow of current from one ferromagnetic particle to thenext, and thus reduce overall current flow in the core. Because eddycurrents result from the conductive flow of current in magneticmaterials like the core, reducing the conductive flow serves to reducethe eddy currents. As a result of the reduced eddy currents, thedistributed gap core structure produces even less heat than itscounterpart ferromagnetic core structures.

Therefore, higher power and current levels may be used to drive coilsfabricated with a distributed gap core without concern for heating thatmay be excessive for a patient undergoing treatment. Moreover, thesehigher power levels may be achieved without the need for sophisticatedcooling systems, typical of the “air” core solutions. In addition, thesehigher current drive levels may drive the distributed gap cores closerto their saturation level to obtain greater magnetic field strength,without concern for consequent undesirable heating. In fact, in someembodiments, heating due to resistive losses in the windings may begreater than heat generated within the distributed gap core material. Inother words, the heating characteristics of the windings may provide theonly real heating concerns for patient use.

Reducing eddy current losses and the concomitant reduction in heatgeneration permits operation of the magnetic core at proportionallyhigher duty cycles. From a medical application perspective, relativelygreater and more intense therapy may be achieved, which may bebeneficial for certain applications. In addition to its inherent reducedtemperature, the core may additionally be enclosed in a structure thatfurther enhances its thermal performance. For example, by potting thecore into a shell heat may be directed to a desirable surface forradiation to the surrounding air. Such a surface may, for example, belocated away from surfaces that touch a patient or the operator.

Air spaces and thermal insulation also may be added between the windingsor other heat generating materials to insulate them from surfaces thatmay come in contact with a patient, for example. Typically thesesurfaces must be kept at or below 41.5 degrees Celsius in order tocomply with medical device standards, well known to those skilled in theart.

It also should be appreciated that the reduced current flow and eddycurrent loss gained with the distributed gap core structure is not foundin the cores created by a sintering process. This is due, in part,because the sintering process operates to place the insulated ironpowder particles back into electrical conductivity with one another, andthus promote current flow and increased eddy current losses.

The insulative material may be any material that offers a differentlevel of permeability and inductance as compared to the ferromagneticparticles. By introducing an insulative gap, the magnetic flux path isincreased, thus reducing the permeability and the inductance of the corematerial. It may be desirable to have a core with a permeability ofgreater than 1. Moreover, because the distributed gap reduces eddycurrents, there are fewer flux distortions. This relatively greaterisotropic structure provides for a more uniformly distributed flux andfacilitates more complex and sophisticated core structures.

The ferromagnetic powder used to make the core may be made of particlesthat are less than 0.05 inch in diameter. Although it should beappreciated that the particles may be of any size in the contemplatedembodiments, it should be appreciated that the specific particledimension is related to the frequency at which the core is to operate.For example, if the core is to be pulsed at a higher frequency, it maybe desirable to use particles with a smaller dimension. Theferromagnetic particles may vary in size and may not be spherical butrather irregular in shape. In any event, it should be appreciated thatspecific particle size may be selected to reduce losses resulting fromeddy currents and hysteresis losses within individual particles.

Also, although the invention is not limited to any particular formation,it should be appreciated that individual ferromagnetic particles may beformulated from iron, iron alloys and amalgams of other conductive orpartially conductive materials. Also, the material composition of theparticles may include non-ferrous metals such as copper, brass, aluminumand alloying elements such as carbon, silicon, nickel and chromiumformulated to create the desired crystal structure and desired magneticcharacteristics. Saturation, permeability and B-H curve characteristicsvary depend on this selected formulation. In addition, the ferromagneticparticles may be coated with a non-conductive resin to, among otherthings, prevent oxidation while being stored before the coated particlesare formed into the desired structure in the core manufacturing process.

The contemplated embodiments include a method for manufacturing amagnetic core device, for example a powdered ferromagnetic core device.The method includes selecting certain powdered ferromagnetic materials.The materials are then mixed and compressed to form the core. The powdermay be pressed into a mold having the final form of the core.Alternatively, blocks of compressed material can be manufactured andsubsequently machined to the desired geometry. Also, separate molded ormachined component pieces may be mechanically assembled into the finalcore geometry using cement, heating or bonding by other mechanicalmeans. The ferromagnetic powder core may be produced by any of severalprocesses. For example, stream of molten iron may be atomized by a highpressure water jet.

The ferromagnetic particles may be coated with any appropriatesubstance. For example, the ferromagnetic particles may be coated withan insulative substance, like alkali metal silicate, for example. Theinsulative substance provides insulation between each of the particlesin the core, and thus creates the distributed gap core. In oneembodiment, an aqueous alkali metal silicate solution is used containingup to 39% by weight solids of K₂O and SiO₂, and up to 54% by weightsolids of Na₂O and SiO₂. A wetting agent or surfactant, like alkylphenoxyl polyethoxy ethanol for example, may be added to facilitateuniform coating of the particles.

The appropriate substances are mixed and may be surface-dried at thesame time. A thin coating of an adherent resin may be applied to theferromagnetic particles. Such resins may include polyimides,fluorocarbons and acrylics. The resin permits the particles to remainflexible and thus capable of withstanding high temperatures withoutdecomposing into conducting residues.

To form the core, the powder is compressed. The compression may beapproximately in the range of 25 to 100 tons per square inch. A form maybe used to create the desired shape. The pressed components may beannealed, for example, at 500 to 600 degrees Celsius to relieve thestresses and reduce the hysteresis losses.

If ferromagnetic powder is to be used for the magnetic core in such anapplication, the particles may be insulated from one another, forexample, with between 1% to 3% spacing between particles. Although thisis just one example. When raw ferromagnetic powder is compressed up to100 tons per square inch and not sintered, the density remains 1% or 2%below the true density of solid iron, because of residual crevices orinterstices which remain empty or are filled with lower density resin.As a result, the ferromagnetic powder may be compressed to about 90% oftheoretical density or better in order to have a distributedinsulation-containing air gap less than 3% in each of the threeorthogonal directions, one of which is that of the flux path. In any ofthe embodiments, the magnetic core may be a composition that allows thecore to saturate at 0.5 Tesla or greater, for example.

During the manufacturing process, the individual ferromagnetic particlesin the powder may be mixed with a binding material, for example phenolicor epoxy. The ferromagnetic powder may then be pressed into its finalshape. Next, a baking or heating process may be implemented to cure thecore material. After the core has been cured, the ferromagneticparticles may be separated by air or insulative binding material whicheffectively results in a distributed gap. As a result, the gap isdistributed throughout the core.

The novel device and techniques may be used for many purposes includingthe treatment of patients with medical conditions. This applicabilitywill be discussed in the context of TMS in order to provide greaterunderstanding. However, it should be appreciated that techniques haveapplicability beyond TMS also are contemplated by the invention.

In just one embodiment, a method of treating a patient by creating amagnetic field using a magnetic device having a non-linear core iscontemplated. As will be discussed with reference to FIGS. 1-13, thecore may assume a number of different and various shapes and sizes. Theshapes and sizes may vary with the particular area of the patient'sanatomy that needs treatment, as well as the external area of thepatient on which the magnet may be placed. For example, in just oneembodiment, the core may have a U-shaped structure that facilitatesplacing the core in close proximity to a patient's head for the purposeof treating the brain with pulsed magnetic fields for the treatment ofdepression. This may be accomplished, for example, by stimulating tissue(e.g., brain tissue), nerves and/or muscle, for example, from an arearelatively proximate to the cutaneous surface and the area of treatment.

Also, the core used to treat the patient may be a gap distributed coreand more specifically an ferromagnetic powder core. As discussed, theembodiments are not limited to any compositions, but contemplate anymaterial composition that effectively creates a distributed gap corestructure. Also, the embodiments contemplate any type of corestructures, including ferromagnetic, where the shape of the corestructure has a non-arc shaped structure. For example, the embodimentscontemplate the use of a non-sintered core material. Also, otherembodiments contemplate a non-linear shaped ferromagnetic powder core.

The magnetic field passing through the core may be applied to thepatient for the purpose of treating or diagnosing the patient. Theembodiments are not limited to a specific level or intensity of themagnetic field, but instead contemplate any field strength, focus andduration necessary to treat or diagnose the desired patient.

A novel system may include a magnetic field generating device createdusing a powdered ferromagnetic core, a circuit in electricalcommunication with the magnetic core, and being drive by a power sourcein electrical communication with the circuit.

A power source may be provided in order for the core to generate therequisite magnetic field. The power source may be in electricalcommunication with the windings wrapped around a portion of the core.The power source may be created to provide a substantially constantpower or substantially constant current source. For example, the powersource may provide a substantially constant power or substantiallyconstant current source to a capacitor, which then discharges to thecore to create the magnetic field.

The power source may operate on an alternating current input voltage inthe range of 85 volts to 264 volts. In this way, the inventive devicemay operate using power typically available in residential andcommercial settings.

Finally, the embodiments contemplate a method for treating depression.As part of the method a patient is selected who suffering from adepressive disorder. The patient's brain is then magnetically stimulatedusing a transcranial magnetic stimulator with a magnetic core. The coremay be a ferromagnetic core having a U-shaped structure and/or adistributed gap core structure having any core shape and structure.

It should be appreciated that the use of ferromagnetic powder core makesmore feasible many possible core geometries. In fact, the distributedgap core (e.g. ferromagnetic powder core) manufacturing process, allowsthe core's geometry to have an array of possibilities. The precise shapeand size of the core's geometry may be made to vary depending uponvarious factors. For example, although not an exclusive list ofconsiderations, the following may be considered in deciding upon thesize and geometry of the core: the use of the core, the availablemounting area and volume, the allowable radiation, the limitations onwindings, the operating temperature, and how the core will be mounted.Consequently, a core's geometrical shape can take any form, including acylinder, bobbin, toroid, a non-toroid or several other possible shapes.

In addition, it also should be appreciated that the ferromagnetic powdermanufacturing process facilitates construction of the core as multiplecomponents or pieces. Multi-piece ferromagnetic powder cores, each piecemade of similar or different magnetic material, may be used forextremely complex shapes or larger core constructions. These individualpieces, of different or similar permeabilities, may be brought togetherby gluing and/or any other attachment techniques well known to thoseskilled in the art. This is facilitated, in part, due to the ease ofmanufacturing and core shaping provided by the powder core process.

In addition, the powder core manufacturing process also facilitates theuse of other materials to shape the magnetic field provided by the corestructure. For example, it may be desirable to deflect or redirect acertain portion of the created magnetic field away from certain parts ofthe anatomy. For example, for brain stimulation, it may be desirable toprotect the trigeminal nerve from being stimulated and causingdiscomfort to the patient. This may be accomplished using any number oftechniques.

One example technique locates a conductor on a treatment area relativeto the protected area. The conductor may act to reduce stimulation of acutaneous-proximate area on the patient. This may be accomplished bymodifying an electric or magnetic field created by the transcutaneousstimulation. Also, it may be accomplished via modification of theelectric field through modification of the magnetic flux created by thetranscutaneous stimulation.

FIGS. 1 through 13 provide various examples of core shapes andconfigurations that are facilitated by the contemplated embodiments. Itshould be appreciated, however, that FIGS. 1 through 13 are not providedin order to detail every possible shape and configuration contemplatedby the invention. Instead, the figures merely provide certain examplesto aid in an understanding of just a few of the contemplatedembodiments.

Generally, it may be noted that the magnetic cores shown in FIGS. 1through 13 essentially comprise three sections. Although the cores maynot have to be separately constructed in three of such sections,describing their shape as such facilitates further discussion of theshape, and thus is not meant to be limiting in any way.

FIG. 1 will be used to discuss the features of the core. As shown inFIG. 1, a core 100 includes a first section 101, a second section 102and a third section 103. In the context of FIG. 1 which is a squared offU-shape, second section 102 serves as a bridge connecting first section101 and third section 103, which serve as the posts or poles for theU-shape. First section 101 is joined with second section 102 at a rightangle. Similarly, third section 103 is joined with second section 102 ata right angle. It should be appreciated that these sections may befabricated as one complete pressed part, or they could be individuallypressed and later assembled to form the U-shape.

As shown in FIGS. 2 through 13, various other shapes and configurationsthat may be modifications or minor alterations are depicted in FIG. 1.For example, as shown in FIG. 2, either ends of the first, second and/orthird sections may be angled or chamfered. Such angles or chamfering maybe accomplished using any such value, for example using an angle of 45degrees. Such modifications to the shape of the pole face are used bythose skilled in the art to redirect and optimize the spatialdistribution of the magnetic field for the intended application. Also,the angled sections may be arc-shaped as shown in FIG. 3.

The angles may be made to both the cornered ends of the core as shown inFIG. 2, or on just one of the cornered ends of the core as shown in FIG.13. Similarly, the angles may be made at the opposite ends with respectto the cornered ends, as shown in FIG. 5. Alternatively, the anglesdepicted in FIG. 5 may be arc-shaped or smoothed, as shown in FIGS. 4and 6. Also, the first and third sections may be L-shaped as shown inFIG. 7 with a linear second section, or as shown in FIG. 8 with anarc-shaped second section.

As shown in FIG. 9, the magnetic core may be arc-shaped core having awire wound around any portion of its axis. Alternatively, as shown inFIGS. 10 and 11, the core may be a linear-shaped structure havingperpendicular or chamfered ends with respect to its main axis. In bothcases, a wire may be wound around any portion of its axis. The woundwire may be a single strand and or multiple strands in parallelelectrically. The wire may include a metal sheet of conductive materialwith or without insulation, and or an extruded magnet wire with orwithout insulation. Also, as shown in FIG. 12, the core may have morethan 2 poles with windings around one or more of the poles.

It should be appreciated that the construction, size and shape of thecore may be made to be dependent upon how the windings will be installedon the core component. For example, certain embodiments contemplatewindings that are wound directly around and/or on the core. Also, otherembodiments may include windings that are wound on a sleeve or bobbinthat is slipped over a portion of the core, or are wound on a mandrel,potted and removed for subsequent assembly onto the core. It should beappreciated that certain embodiments may include a combination of thethese approaches. A channel may be cut into the face of the pole inorder to allow windings or wire to be installed. For example, a shortedturn may be inserted into the channel and connected together outside ofthe channel.

The wire used for the windings may be insulated to prevent closelywound, adjacent turns from shorting out. In the context of directlywound windings, the wire may be of such a gauge as to prevent the corefrom cutting through the insulation, for example with sharp surfaces oredges. Therefore, to accommodate such directly wound cores, the core mayhave a smooth winding surface, or in some cases may provide a cornerradius to accommodate the turns.

The bobbin may be a structure that includes a single bobbin or multiplebobbins. The bobbin may provide insulation properties with respect tothe rest of the core, as well as providing operation and safetycapabilities. The wire may be wound around the pole faces of the core.Where wire is wound around two or more poles, the number of turns of thewinding may be equal between both poles. Also, the wire may be woundaround a central point of the core, instead of or in addition to beingwound around the pole faces of the core. Where wound around both, thenumber of turns of the winding around the pole faces may be a fractionof the number of turns around the central point of the core.

Again, it should be appreciated that fabrication of a core by pressingferromagnetic powder into a mold allows a diverse range of core shapesand therefore more varied winding solutions. For example, in oneembodiment of a distributed gap core a bobbin may be more readily usedto accurately prefabricate and position the winding on the core.

FIGS. 1B, 2B and 3B illustrate how one or more wires may be wound aroundat least a portion of the magnetic core. As shown in FIGS. 1B, 2B and3B, the windings may be wound around the first and third sections of thecore. Such a winding may be a single winding wound around the first andthird sections, or two or more individual windings each wound around thefirst and third sections. Alternatively, as shown in FIGS. 1A, 2A and3A, the winding may be wound around the second section of the core.Again, the core winding may be a single winding or multiple windings.

FIG. 14 is a flow diagram of a method for treating a patient. As shownin FIG. 14, in 1401 a magnetic field is created using a distributed gapcore magnetic device. In 1402, the magnetic device is placed proximateto a cutaneous area on the patient, for example, in proximity to thepatient's head. In 1403, a portion of the patient's anatomy that isdesired to be treated (e.g., brain) is stimulated. In 1404, the magneticfield is applied to the patient. In 1405, the patient is treated, forexample for depression, incontinence, and weight control, with themagnetic field. Other types of conditions also may be treated usingthese techniques. These may include, but are not limited to, treatingthe peripheral nervous system, rehabilitating the patient's muscle.

It also should be appreciated that the described techniques further maybe used to directly diagnose a patient's condition. Also, the techniquesmay be used to diagnose a response to drugs or other therapy and/or toquantify effectiveness of such therapies. In just one of many possibleexamples, pharmaceuticals may have effects (i.e., direct or secondary)on the performance of the central nervous system. These effects may beobserved by providing stimulation (e.g., TMS) and observing evokedpotentials, motor response, conduction velocities or other responses,just to name a few of the many contemplated observed effects. Changes inresponse may be used to quantify performance or to determine optimaldosing, for example.

In addition, many pathologies may be diagnosed using the describedtechniques an investigative tool to observe neurological response. Suchpathologies include, but are not limited to, degenerative diseases,extent of traumatic injury, progression of diseases, systemicdeficiencies, and congenital anomalies (e.g., tinnitus). A partial listof such conditions is provided here for the purposes of furtherunderstanding. However, the scope of the described embodiments are notlimited to this list. These include assessment or measuring effect ofpharmaceuticals, including anti-convulsives, Alzheimer's medications,anti-psychotics, pain medications, anti-anxiety, hypnotics (sedatives),analgesics (central), ADHD medications and, anesthetics. Just a few ofthe contemplated diagnostic applications include compromised motorfunction, degenerative diseases (e.g., Alzheimer's, Parkinson's,Amyotrophic Lateral Sclerosis), multiple sclerosis, diabetic neuropathy,chronic demyelinating neuropathy, acute demyelinating neuropathy,epilepsy, vitamin B12 deficiency (e.g., pernicious anemia), vitamin Edeficiency, neurosarcoidosis, tinnitus, and stroke rehabilitation.

Other disorders may also be treated with the described techniquesincluding treating a patient such as a human suffering from majordepressive disorder, epilepsy, schizophrenia, Parkinson's disease,Tourette's syndrome, amyotrophic lateral sclerosis (ALS), multiplesclerosis (MS), Alzheimer's disease, attention deficit/hyperactivitydisorder, obesity, bipolar disorder/mania, anxiety disorders (panicdisorder with and without agoraphobia, social phobia also known associal anxiety disorder, acute stress disorder, generalized anxietydisorder), post-traumatic stress disorder (one of the anxiety disordersin DSM), obsessive compulsive disorder (one of the anxiety disorders inDSM), pain (migraine, trigeminal neuralgia) (also: chronic paindisorders, including neuropathic pain, e.g., pain due to diabeticneuropathy, post-herpetic neuralgia, and idiopathic pain disorders, e.g.fibromyalgia, regional myofascial pain syndromes), rehabilitationfollowing stroke (neuro plasticity induction), tinnitus, stimulation ofimplanted neurons to facilitate integration, substance-related disorders(dependence and abuse and withdrawal diagnoses for alcohol, cocaine,amphetamine, caffeine, nicotine, cannabis), spinal cord injury &regeneration/rehabilitation, head injury, sleep deprivation reversal,primary sleep disorders (primary insomnia, primary hypersomnia,circadian rhythm sleep disorder), cognitive enhancements, dementias,premenstrual dysphoric disorder (PMS), drug delivery systems (changingthe cell membrane permeability to a drug), induction of proteinsynthesis (induction of transcription and translation), stuttering,aphasia, dysphagia, essential tremor, or eating disorders (bulimia,anorexia, binge eating).

The method further may include determining so-called “motor threshold”of the patient. More specifically, the magnetic device may be moved overa particular area until some indication of positioning is provided. Forexample, in the context of magnetic stimulation of the brain, themagnetic device may be moved over the patient's head until the patient'sthumb moves or twitches indicating a motor threshold point. This motorthreshold determination may be at a similar or different frequency, forexample, using a stimulation frequency rate of 1 Hz.

From this point, the magnetic device may be moved to a desired treatmentlocation. For example, for TMS treatment of the brain, the magneticdevice may located approximately 5 centimeters anteriorly from motorthreshold point. During TMS treatment, in some embodiments, thestimulator output may be set to approximately 110% of relaxed motorthreshold with perhaps a repetition rate of approximately 10 Hz.

FIG. 15 is a block diagram of a system for treating a patient. As shownin FIG. 15, a system 1500 for treating a patient includes a magneticfield generating device 1501. Magnetic field generating device 1501 mayhave a distributed gap core structure. Also, a circuit 1502 is inelectrical communication with the magnetic field generating device.

The circuit may be act as a switch to pulse the magnetic fieldgenerating device in such a way to treat the desired condition. In thisway, the magnetic field may be applied to the patient in cyclesintermittently. The exact stimulation frequency or frequency in whichthe magnet is pulsed may be varied depending upon the particularapplication (e.g. size of magnet and area of stimulation). For example,in just some embodiments, it may be desirable to stimulate for a fivesecond period, followed by rest for a five second period and then repeatstimulation continuously for another five seconds. While they are beingstimulated, it is desirable to have the muscle groups continuouslyexcited. This requirement dictates the necessity of continuing to pulsethe cores at a repetition rate of 15 Hz. Because of the large currentsinvolved during any given firing of the core, it is necessary to makethe cores as efficient as possible. It is desirable to focus themagnetic field into the region targeted for stimulus to the exclusion ofsurrounding regions. The specially designed cores offered by thisinvention realize that focusability.

In addition, a power source 1503 may be in electrical communication withthe circuit. The power source may provide direct current (dc) oralternating current (ac) power. Also, the power levels may be consistentwith those available in residential and commercial settings.

FIG. 16 is a flow diagram of a method for manufacturing a magnetic corefor treating a patient. As shown in FIG. 16, in 1601, ferromagneticparticles are selected with an insulated coating. In 1601, theferromagnetic particles are mixed and in 1602, the ferromagneticparticles are formed into a core structure. In 1604, a conductor (e.g.,wire) is wound around the core structure. In 1605, a power source isconnected to the core structure.

Although not shown for the purposes of brevity, it should be appreciatedthat similar winding configurations may be applied to any of thepossible core shapes, illustrated in the figures or otherwise. Thedescription herein with regard to the shapes and winding configurationsof the core have been provided to facilitate the discussion andunderstanding of the many possible shapes and configuration that arewithin the scope of the contemplated embodiments. Similarly, it shouldbe appreciated that these shapes and configurations are equallyapplicable to any type of magnetic core used for treating and/ordiagnosing a patient, including but not limited to pressed powder,sintered, tape wound, and coil only or “air” core structures.

It is to be understood that the foregoing illustrative embodiments havebeen provided merely for the purpose of explanation and are in no way tobe construed as limiting of the invention. Words used herein are wordsof description and illustration, rather than words of limitation. Inaddition, the advantages and objectives described herein may not berealized by each and every embodiment practicing the present invention.Further, although the invention has been described herein with referenceto particular structure, materials and/or embodiments, the invention isnot intended to be limited to the particulars disclosed herein. Rather,the invention extends to all functionally equivalent structures, methodsand uses, such as are within the scope of the appended claims.

For example, although a great deal of the discussion was based on theuse of a pressed powder distributed gap core structure, it should beappreciated that the contemplated embodiments include the use of anycore structure, including “air core,” non-sintered, and otherferromagnetic core structures for example. Moreover, although certaincore shapes and configurations have been described herein, it should beappreciated that the shapes are provided merely to provide anunderstanding of the many core shapes contemplated by the embodiments.

In addition, although the disclosure addresses the treatment ofpatients, it should be appreciated that techniques described herein alsocontemplate patient diagnosis. In fact, where the disclosure refers tothe treatment of patients for certain conditions, the techniques equallyapply to the monitoring and diagnosis of patients for the same orsimilar conditions.

Those skilled in the art, having the benefit of the teachings of thisspecification, may affect numerous modifications thereto and changes maybe made without departing from the scope and spirit of the invention.

1. A method of treating a patient, comprising: creating a magnetic fieldusing a magnetic device having core created using a thermally set binderprocess having a relatively low temperature; applying the magnetic fieldto the patient; and treating the patient as a function of the magneticfield.
 2. The method of claim 1, further comprising treating the patientvia diagnosis.
 3. The method of claim 1, further comprising placing themagnetic device in proximity to the patient's head and treatingdepression.
 4. The method of claim 1, further comprising stimulating aportion of the patient's brain and treating depression.
 5. The method ofclaim 1, wherein the magnetic device provides the transcutaneousmagnetic stimulation.
 6. The method of claim 1, wherein the magneticdevice comprises a magnetic core that saturates at 0.5 Tesla or greater.7. The method of claim 1, wherein the magnetic device comprises amagnetic core with a non-toroidal geometry.
 8. The method of claim 1,further comprising placing the magnetic device proximate to thecutaneous surface.
 9. The method of claim 8, further comprisingstimulating at least one of the following relatively proximate to thecutaneous surface: tissue, nerves and muscle.
 10. The method of claim 9,wherein the tissue is brain tissue.
 11. The method of claim 1, furthercomprising locating a conductor on a treatment area relative to thefirst location.
 12. The method of claim 11, further comprising reducingstimulation of a cutaneous-proximate area on the patient via theconductor.
 13. The method of claim 12, wherein the reducing comprisesmodifying an electric field created by the transcutaneous stimulation.14. The method of claim 13, wherein the modification of the electricfield occurs through modification of the magnetic flux created by thetranscutaneous stimulation.
 15. The method of claim 12, wherein thereducing comprises modifying the magnetic field created by thetranscutaneous stimulation.
 16. The method of claim 1, wherein the coreshape is non-linear.
 17. The method of claim 1, further comprisingtreating the patients' peripheral nervous system.
 18. The method ofclaim 1, further comprising treating incontinence.
 19. The method ofclaim 1, further comprising treating a patient for weight control. 20.The method of claim 1, further comprising rehabilitating the patient'smuscle.
 21. The method of claim 1, further comprising applying themagnetic field in cycles intermittently.
 22. The method of claim 1,wherein the thermally set binder process is a non-sintered process. 23.The method of claim 1, further comprising selecting a patient sufferingfrom a depressive disorder.
 24. The method of claim 1, wherein the coreis shaped into a non-linear form, formed for placement of at least onepole face in proximity to the patient for applying a magnetic field to atarget anatomy.
 25. The method of claim 1, wherein the core has a poleface and the pole face comprises a channel cut into the face of the polewith a shorted turn inserted into the channel and connected togetheroutside of the channel.
 26. The method of claim 1, wherein the core iscreated using a ferromagnetic material.
 27. The device of claim 26,wherein the ferromagnetic material is at least one ferromagneticmaterial selected from one or more ferromagnetic materials and mixedwith a non-conductive material to create the core.
 28. The device ofclaim 26, wherein the ferromagnetic material is formed into a non-linearcore structure.